Advanced Practice Provider - Hospital (Urology Division)

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Purpose

The purpose of the Urology Inpatient Advanced Practice Provider is to provide general medical care and treatment to urology patients in the inpatient and emergency department settings, in collaboration with a physician. This position serves as the primary point of contact for inpatient and emergency urology consults and manages the daily care and discharge of urology inpatients in coordination with the attending urologist.

Schedule

Monday through Thursday, 7:00 a.m. to 4:00 p.m.; Friday, 7:00 a.m. to 12:00 p.m. Schedule is tentative and subject to staffing needs.

Essential Job Functions

• Serve as first call for all pages to urology regarding new consults and known patients.
• Triage, evaluate at the bedside, document, place relevant orders, and communicate with the primary team on all new emergency department and inpatient consults. Care is to be administered in close coordination with the physician on call for unattached patients and with the established physician for known patients.
• Analyze and interpret patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.
• Diagnose or treat acute health care problems such as illnesses, infections, or injuries.
• Diagnose or treat complex, unstable, comorbid, episodic, or emergency conditions in collaboration with other health care providers as necessary.
• Recommend diagnostic or therapeutic interventions with attention to safety, cost, invasiveness, simplicity, etc.
• Order, perform, or interpret the results of diagnostic tests, such as complete blood counts, electrocardiograms, and radiographs.
• Develop treatment plans based on scientific rationale, standards of care, and professional practice guidelines.
• Prescribe medications based on efficacy, safety, and cost as legally authorized, including dosages, routes, and frequencies based on patient characteristics such as age and gender.
• Round daily on consults and postoperative patients.
• Evaluate and discharge uncomplicated, low-acuity postoperative patients (e.g., POD1 IPP, PCNL, TURP). Eventual management of abdominal surgeries typically discharged POD1 (RALP, partial/radical nephrectomy, pyeloplasty) at the discretion of the surgeon. Complicated postoperative patients will be seen in person by the physician.
• Complete postoperative rounding duties including discharge orders, documentation, and medication reconciliation.
• Once trained, independently perform difficult Foley placements (cystoscopic placements to be performed by the physician), hematuria irrigations, initiation and troubleshooting of continuous bladder irrigation (CBI), paraphimosis reduction, dressing changes, and scrotal I&D.
• Assist with booking surgical cases and placing relevant pre- and postoperative orders for add-on cases. No direct involvement in surgery is planned at this time; intraoperative consults are to be forwarded directly to the physician on call.
• Maintain complete and detailed records of patients' health care plans and prognoses.
• Counsel patients about drug regimens and possible side effects or interactions with other substances such as food supplements, over-the-counter medications, or herbal remedies.
• Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
• Arrange follow-up visits to monitor patients or evaluate health or illness care.
• Maintain current knowledge of state legal regulations for advanced practice provider practice, including reimbursement of services.
• Maintain knowledge of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources.
• Advocate for accessible health care that minimizes environmental health risks.
• Ability to be at work regularly and on time.
• Other duties as assigned.

Practice Autonomy

Graduated autonomy is to be granted over time as competency is demonstrated and at the discretion of the supervising physician.

Hospital coverage area

Huntsville Hospital and Crestwood Hospital

Qualifications

• Excellent bedside manner.
• Ability to work well with different personality types.
• Clinical skills.
• Physiological knowledge.
• Ability to triage and prioritize multiple consults and pages independently.

Education/Experience

• Master's Degree in Nursing, or graduation from an accredited Physician Assistant program, required.
• Current state licensure
• Prescriptive authority preferred but can arrange after hire if needed.
• Urology, surgical, or inpatient experience preferred.

Working Conditions

This position takes place in an inpatient hospital and emergency department setting and provides care to urology patients. A kind, caring demeanor is a must.

Physical Requirements

This position requires the ability to stand for long periods of time, as well as walk throughout the day. It also requires being in close proximity to people who may be ill.

Direct Reports

• Nurses
• Medical Assistants
• Vitals Techs

Educational Materials

Provided with access to AUA guidelines and a copy of Wieder's Pocket Guide to Urology.